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PERMIT APPLICATION -7 -a-7 --o7 <br />CITY OF EVERETT PERMIT SERVICES � <br />�0 <br />, <br />3200 CEDAR STREET, EVERETT, WA 98201 /VPQ/� <br />425-257-8810 - FAX 425.257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />ZIII 74.PjST. S.E, <br />PARCEL TAX I.D. 0 <br />OWU o00001004 <br />PERMIT p <br />r 767-23 <br />LEG A LOT NO. <br />DESC. <br />BLOCK <br />0 4 <br />TRACT �O,RnSU�B/DIVI�SIIO�N,X,,� T ..n w I U NdI {� <br />OF&UG`L 1 ACM w AL , .Y� O% -CJ��{ <br />OWNER ADDRESS CITYIZIP PHONE <br />PrWw 4 kO S E CM4ES 219 7#7171 ST, S.E. EVeF6M 98103 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE N25 772 3/`' <br />LEAN DARI D11 S E-MAIL D A%OARIl7TlS@V <br />CONTRACTOR ADDRESSW NCT <br />W06DWAY +fDMEg, Wf,. 9215 18� AVE 4F, EUMAM- 9&104 4)5 710.21571 <br />CONTR. LICENSE N <br />WOOD `Sal 94 N C ��� <br />_ <br />USE OF BUILDING <br />HE SOURCE <br />J CONTRACT PRICE OF WORK <br />S F 1` <br />�Eleclric —Gas —Other <br />�f �5,? j SQ 0 , 00 <br />WORK DESCRIPTION -I�A' <br />kWDVW F11L4 Da9TyYFU ItOmE. REPt,-Aw wiTH Alaw #TOME. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />— <br />A/C — air handling units <br />Bathtub <br />Forced air systems <br />, 2_ <br />Lavatory (wash basin) <br />Gas piping <br />Shower <br />I <br />Water heater <br />= <br />Kitchen sink 8 disposal <br />_ <br />Gas fireplace <br />I <br />Dishwasher <br />Gas range <br />J_ <br />Clothes washer <br />Clothes oryer <br />Water heater <br />Range hood <br />_ <br />Sink (servicelbar/mop/etc.) <br />Exhaust fan <br />_ <br />Backllow preventer <br />Heat pump <br />Urinal <br />Unit heater <br />_ <br />_ <br />Drinking Fountain <br />Boller <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Woodstove <br />_ <br />_ <br />Roof drains <br />Other_ <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerilify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />co ction. That I authorized by the owner of this property to perform the work for which application is made and 1 comply with the <br />St a ontractors L w .27 RCW and 298.200 WAC. <br />g e o ner/ on clor/ uthorize gent e <br />